Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.80 / $868.40 / $1,246.30	Facility		$541.80	$868.40	$1,246.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $466.17 / $1,390.00	Professional		$220.89	$466.17	$1,390.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.28 / $1,043.00 / $1,487.77	Facility		$677.28	$1,043.00	$1,487.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.69 / $542.21 / $817.84	Professional		$263.69	$542.21	$817.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $914.76 / $1,096.20	Professional		$416.78	$914.76	$1,096.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $437.62 / $916.92	Facility		$312.58	$437.62	$916.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $567.75	Professional		$416.78	$416.78	$567.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $437.62 / $920.04	Facility		$416.78	$437.62	$920.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $527.23 / $1,208.66	Facility		$437.62	$527.23	$1,208.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.46 / $504.30 / $666.85	Professional		$458.46	$504.30	$666.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $812.72 / $1,286.38 / $1,721.88	Facility		$812.72	$1,286.38	$1,721.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $736.16 / $819.32 / $1,310.93	Professional		$736.16	$819.32	$1,310.93
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $175.05 / $500.14	Professional		$175.05	$175.05	$500.14